Active NPI
Joseph James Canestrari, PA-C
- Surgical Physician Assistant
- Melbourne, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA9104146
- Practice address
- 240 N Wickham Rd Ste 102
Melbourne, FL 32935-8663 - Phone
- (321) 541-1777
- Fax
- (321) 541-1797
- NPI assigned
- May 17, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA9104146 | FL | Primary |
Addresses
Primary practice location
240 N Wickham Rd Ste 102
Melbourne, FL 32935-8663
Mailing address
240 N Wickham Rd Ste 102
Melbourne, FL 32935-8663
Phone (321) 541-1777
Other practice location 1
709 S Harbor City Blvd
Suite 100
Melbourne, FL 32901-1938
Phone (321) 725-2225
Other practice location 2
240 N Wickham Rd Ste 108
Melbourne, FL 32935-8663
Phone (321) 541-1777
Other practice location 3
240 N Wickham Rd Ste 104
Melbourne, FL 32935-8663
Phone (321) 541-1777
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y04XM | Other | FL | FLORIDA BLUE |
| 106496100 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- H2 Rehabilitation Services of Florida LLC
Practice addresses (Care Compare)
2225 S Babcock St
Suite 110
Melbourne, FL 32901-5305
Phone (321) 425-4321
240 N Wickham Rd
Melbourne, FL 32935-8662
Phone (321) 541-1777
250 N Wickham Rd
Melbourne, FL 32935-8625
Phone (321) 752-1200
32 W Gore St
Orlando, FL 32806-1134
3680 N Wickham Rd
Suite B
Melbourne, FL 32935-2327
Phone (321) 255-5500
4270 Minton Rd
Suite 120
West Melbourne, FL 32904-9579
Phone (321) 984-2933
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9104146 | FL | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Steward Medical Group, Inc. | Current | Accepting new patients | |
| Vero Orthopaedics II PA | Past | Accepting new patients | |
| Stewart and Stewart a Medical Corporation | Past | Accepting new patients |
Locations
240 N Wickham Rd
Ste 104
Melbourne, FL 32935
Phone (321) 242-1325
240 N Wickham Rd
Ste 102
Melbourne, FL 32935
Phone (321) 541-1746
240 N Wickham Rd
Ste 108
Melbourne, FL 32935
Phone (321) 541-1777
32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820
8000 Ron Beatty Blvd
Ste A-3
Sebastian, FL 32976
Phone (772) 664-1388
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1669429577
-
- Urology Physician
- Cocoa, FL
- NPI 1104367630
-
- Orthopaedic Surgery Physician
- Sebastian, FL
- NPI 1134441660
-
- Family Medicine Physician
- Alhambra, CA
- NPI 1306058565
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1295702728
-
- General Acute Care Hospital
- Titusville, FL
- NPI 1053424648
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1033937883
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1730494816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743379200000",
"number": "1871700161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 N WICKHAM RD STE 102",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329358663",
"telephone_number": "321-541-1777",
"fax_number": "321-541-1797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 N WICKHAM RD STE 102",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329358663",
"telephone_number": "321-541-1777",
"fax_number": "321-541-1797"
}
],
"practiceLocations": [
{
"address_1": "709 S Harbor City Blvd",
"address_2": "Suite 100",
"address_purpose": "LOCATION",
"city": "Melbourne",
"state": "FL",
"postal_code": "329011938",
"country_code": "US",
"telephone_number": "321-725-2225",
"fax_number": "321-308-0635",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "240 N Wickham Rd Ste 108",
"address_purpose": "LOCATION",
"city": "Melbourne",
"state": "FL",
"postal_code": "329358663",
"country_code": "US",
"telephone_number": "321-541-1777",
"fax_number": "321-541-1788",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "240 N Wickham Rd Ste 104",
"address_purpose": "LOCATION",
"city": "Melbourne",
"state": "FL",
"postal_code": "329358663",
"country_code": "US",
"telephone_number": "321-541-1777",
"fax_number": "321-541-1786",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CANESTRARI",
"first_name": "JOSEPH",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-17",
"last_updated": "2025-03-31",
"certification_date": "2025-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "FL",
"license": "PA9104146",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA BLUE",
"identifier": "Y04XM",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "106496100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.